Revenue Cycle Manager

Revenue Cycle Manager

Posting Details

• Job Title: Revenue Cycle Manager
• Department: Dental Clinic Regist/Ins/Compliance
• Campus: San Francisco
• Posting Number: 201304398P
• Full or Part Time: Full Time
• Number of Months: 12
• Work Schedule: M-F 8 hours per day
• Open Date: 10/29/2026
• Open Until Filled: Yes
• Special Instructions to Applicants:
  
  • For Applicants Seeking Job Opportunities within the University
  • Internal: Internal applicants will be considered within the first five (5) business days of the posting period.
  • External: External applicants will be considered on the sixth (6) business day of the posting period.
• Sponsorship: This position is not eligible for a visa sponsorship now or in the future.

Primary Purpose

Under the general supervision of the Director of Patient Financial & Revenue Cycle (DPFRC) The Revenue Cycle Manager is responsible for the overall management and performance of the Clinic and patient revenue cycle, ensuring timely and accurate reimbursement from Medicare, Medi-Cal, commercial insurance, managed care, and private payers. This position oversees all billing office operations from pre-claim review through final payment resolution, including coding, claims submission, accounts receivable, denials management, collections, credentialing, compliance, and reporting.

The Revenue Cycle Manager develops policies, monitors key performance indicators (KPIs), ensures regulatory compliance, improves operational efficiencies, and leads the billing team to maximize cash collections while maintaining exceptional organization and regulatory compliance.

University of the Pacific recognizes that diversity, equity, and inclusion is foundational to the success of our valued students and employees. We prioritize policy and decision-making that demonstrates awareness of, and responsiveness to, the ways socio-cultural forces related to race, gender, ability, sexuality, socio-economic status, etc. impede or propel students, faculty, and staff.

Essential Functions

• Direct and oversee all aspects of the clinic revenue cycle management function, ensuring efficient and compliant billing operations.
• Manage the complete claims lifecycle, including charge entry, claims submission, payment posting, denial management, and account resolution.
• Ensure accurate and timely billing and reimbursement for Medicare, Medi-Cal, commercial insurance, managed care, and self-pay accounts.
• Monitor billing accuracy, clean claim rates, and key revenue cycle performance metrics.
• Develop, implement, and optimize revenue cycle workflows, processes, and improvement initiatives to enhance revenue capture, billing accuracy, collection performance, reimbursement speed, workflow efficiency, automation, customer satisfaction, and overall financial outcomes while reducing claim turnaround times.
• Oversee and ensure timely follow-up on unpaid claims to maximize collections and reduce accounts receivable aging.
• Monitor accounts receivable aging and collection performance.
• Establish collection priorities and productivity goals, analyze reimbursement trends.
• Identify and resolve payment delays through corrective actions, reduce aged receivables, and oversee write-offs and contractual adjustments.
• Develop and implement denial prevention strategies by analyzing denial trends, coordinating appeals, and ensuring timely submission of reconsiderations, corrected claims, and rebilling activities to maximize reimbursement and reduce future claim denials.
• Maintain compliance and documentation with all applicable regulations, including the contracted fee schedules, California Medi-Cal regulations, HIPAA, CMS documentation requirements, and state and federal billing regulations.
• Responsible for monitoring, reporting and improving on the following key performance indicators but not limited to. Net Collection Rate, Gross Collection Rate, Days in Accounts Receivable, Aging by Payer, Cash Collections, Charge Lag, Denial Rates, Payment Variances, Bad Debt Trends, and Productivity Metrics.
• Provide recommendations to executive leadership for improvements.
• Supervise and mentor billing office personnel by establishing productivity standards, delivering training and development programs, and fostering a collaborative, accountable, and high-performing team environment.
• Conduct introductory and annual performance reviews.
• Coordinate with billing software vendors, clearinghouses, collection agencies, payment vendors, and insurance representatives and monitor vendor performance.
• Coordinate and oversee internal billing audits, Medicare audits, Medi-Cal audits, ROC audits, and documentation reviews, and implement corrective action plans as needed to ensure regulatory compliance.
• Perform all other duties as assigned by the Director of Patient Financial & Revenue Cycle.

Minimum Qualifications

Knowledge of:

• Insurance billing, appeals, collections, and contractual adjustments.
• Dental/Medical insurance credentialing
• Demonstrated ability to manage time effectively, balance multiple priorities, and drive tasks and projects to successful completion. Proven track record of navigating complex and urgent issues with clarity and efficiency.
• Dental terminology/treatment and insurance procedures.
• Electronic dental billing systems.
• Accounting/billing procedures.
• Principles of management and supervision.
• Microsoft Excel, Word, and Access.

Ability to:

• Communicate effectively with a diverse population of patients, students, staff, faculty and administration.
• Produce professional and concise reports and written correspondence.
• Analyze financial reports, and KPI’s to make appropriate recommendations.
• Ability to meet benchmarks in a fast-pace high-volume setting
• Work independently with minimal supervision.
• Provide effective leadership, training, and supervision.
• Maintain confidentiality of information.
• Demonstrate professional judgment in all situations.
• Manage multiple projects and consistently meet deadlines.

Experience:

• Minimum of 3-5 years dental insurance claims processing experience.
• Minimum 3 years increasingly responsible management experience, preferably in a dental or medical office.
• Minimum 3 years experience in Revenue Cycle Management.

Education:

• Bachelor’s degree in related field or 4 years relevant experience.

Preferred Qualifications

Ability to:

• Communicate effectively with a diverse population of patients, students, staff, faculty and administration.
• Provide effective leadership, training, and supervision.
• Demonstrate professional judgment in all situations.

Experience:

• Experience in dental group practice or dental school is highly desirable.
• Bilingual skills helpful.

Other:

• Experience and sensitivity in working with people of diverse backgrounds and cultures.
• Ability to engage and integrate culturally responsive practices and knowledge in their work.

Physical Requirements

The physical demands described here are representative but not definitive of those that must be met by an employee to successfully perform the essential functions of this job.

• Work performed is primarily office/administrative with frequent use of computer, mouse, and telephone.
• Requires sitting most of the working day; occasionally standing, bending and walking.

Hiring Range

$95,000.00 - $119,000.00 per year. We consider factors such as, but not limited to, scope and responsibilities of the position, candidate’s qualifications, internal equity, as well as market and organizational considerations when extending an offer.

Background Check Statement

All applicants who receive a conditional offer of employment are required to execute a release and authorization for a background screening.

AB 810

Anti-Discrimination/EEO Policy Statement

University of the Pacific is an equal opportunity employer dedicated to workforce diversity across backgrounds, experiences, and viewpoints. Pacific does not unlawfully discriminate in its hiring of faculty and staff, or in the provision of its employment benefits to its faculty and staff on the basis of race, color, religion, national origin, ancestry, age, genetic information, sex/gender, marital status, military and veteran status, sexual orientation, medical condition, pregnancy, gender identity, gender expression, or mental or physical disability, or other legally protected characteristics or combination of such characteristics. While we strive to attract a broad and representative pool of candidates, all hiring decisions are made based on merit, selecting the most qualified individual for each position.

Posting Specific Questions

1. How did you first learn about this employment opportunity?
   • University of the Pacific Website
   • Asianlife.com
   • Blackperspective.com
   • CentralValleyJobs.com
   • Craigslist
   • Dice.com
   • Higheredjobs.com
   • Hispanic-Jobs.com
   • Indeed.com
   • Insidehighered.com
   • LinkedIn
   • Lgbtconnect.com
   • Metrochamber.org
   • Monster.com
   • Thelaa.org
   • SimplyHired.com
   • Workplacediversity.com
   • Association of American Colleges and Universities (AAC&U)
   • Chronicle of HIgher Education
   • Diverse Issues in Higher Education
   • EDUCAUSE
   • Higher Education Recruitment Consortium (HERC)
   • Higher Education Recruitment Consortium - Northern California (NorCal HERC)
   • Modesto Bee
   • Pacific Employee
   • Personal Referral
   • Professional or Association Listserv
   • Publication or website from a professional organization
   • Sacramento Bee
   • San Francisco Chronicle
   • Stockton Record
   • Agency Referral
   • Other Online Job Board
2. Pacific participates in federal healthcare programs. As such, a required part of the hiring process is to verify that potential employees have not been excluded from participating in federal programs for mandatory exclusions (including for fraud, controlled substances crimes, patient abuse or neglect, or other program-related crimes) or for other permissive exclusions by the Office of Inspector General. A "Yes" response would be considered disqualifying. Please answer the following question accordingly: Have you received notice that you are under review for possible exclusion from any federal programs (including Medicare, Medicaid, or any other federal healthcare program)?
   • Yes
   • No
3. Pacific participates in federal healthcare programs. As such, a required part of the hiring process is to verify that potential employees have not been excluded from participating in federal programs for mandatory exclusions (including for fraud, controlled substances crimes, patient abuse or neglect, or other program-related crimes) or for other permissive exclusions by the Office of Inspector General. A "Yes" response would be considered disqualifying. Please answer the following question accordingly: Are you currently excluded from participation in federal programs (including Medicare, Medicaid, or any other federal healthcare program)?
   • Yes
   • No
4. Do you have a minimum of three to five years of Dental Insurance Claims processing experience? (Open Ended Question)
5. Do you have a Bachelor's degree?
   • Yes
   • No

Applicant Documents

Required Documents

• Resume
• Cover Letter/Letter of Application

Optional Documents

• Unofficial Transcripts

bill_id=202320240AB810) Misconduct Disclosure Requirement: University of the Pacific complies with California Assembly Bill 810, requiring candidates accepting conditional job offers to disclose any final administrative or judicial findings, ongoing proceedings, allegations, resignations under investigation, or appeals related to sexual harassment or misconduct within the past seven years.

Misconduct Disclosure Requirement: University of the Pacific complies with California Assembly Bill 810, requiring candidates accepting conditional job offers to disclose any final administrative or judicial findings, ongoing proceedings, allegations, resignations under investigation, or appeals related to sexual harassment or misconduct within the past seven years.